Ottumwa Foot & Ankle Clinic - Medicare Podiatrist in Ottumwa, IA

Ottumwa Foot & Ankle Clinic is a medicare enrolled "Podiatrist" provider in Ottumwa, Iowa. Their current practice location is 1005 Pennsylvania Ave, Suite 202, Ottumwa, Iowa. You can reach out to their office (for appointments etc.) via phone at (641) 684-8448.

Ottumwa Foot & Ankle Clinic is licensed to practice in Iowa (license number 00453) and it also participates in the medicare program. Ottumwa Foot & Ankle Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154549640.

Contact Information

Ottumwa Foot & Ankle Clinic
1005 Pennsylvania Ave, Suite 202,
Ottumwa, IA 52501-6413
(641) 684-8448
(641) 684-4055



Healthcare Provider's Profile

Full NameOttumwa Foot & Ankle Clinic
TypeFacility
SpecialityPodiatrist
Location1005 Pennsylvania Ave, Ottumwa, Iowa
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154549640
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 02/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6305736026
  • Enrollment ID: O20040317000601

Medical Identifiers

Medical identifiers for Ottumwa Foot & Ankle Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154549640NPI-NPPES
0249003MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 00453 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ottumwa Foot & Ankle Clinic acts as a billing entity for following providers:
Provider NameDavid L Wanner
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1558566208
PECOS PAC ID: 6305938895
Enrollment ID: I20070829000187

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Provider NameGary E Gansen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992170856
PECOS PAC ID: 8921362252
Enrollment ID: I20180514000967

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Provider NameShelbi Dexter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164192290
PECOS PAC ID: 4880092311
Enrollment ID: I20211013001460

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Provider NameJacy L Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134780968
PECOS PAC ID: 5092160606
Enrollment ID: I20231017000393

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ottumwa Foot & Ankle Clinic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ottumwa Foot & Ankle Clinic
1005 Pennsylvania Ave, Suite 202,
Ottumwa, IA 52501-6413

Ph: (641) 684-8448
Ottumwa Foot & Ankle Clinic
1005 Pennsylvania Ave, Suite 202,
Ottumwa, IA 52501-6413

Ph: (641) 684-8448

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Podiatrist in Ottumwa, IA

Dr. Bruce H Fridinger, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 520 N Sheridan Ave, Ottumwa, IA 52501
Phone: 641-683-7901    Fax: 641-682-1158
David L. Wanner, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1005 Pennsylvania Ave, Ste 202, Ottumwa, IA 52501
Phone: 641-684-8448    Fax: 641-684-4055
Mr. Scott Byron King, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 515 Church St, Ottumwa, IA 52501
Phone: 641-575-2054    Fax: 641-575-2057
Foot And Ankle Professional Centers Of Iowa, Pc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 520 N Sheridan Ave, Ottumwa, IA 52501
Phone: 641-683-7901    Fax: 641-682-1158
Foot And Ankle Associates
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 515 Church St, Ottumwa, IA 52501
Phone: 641-572-2054    Fax: 641-575-2057

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